Active NPI
Blythe Dechelly Stewart, OT
- Occupational Therapist
- Dallas, TX
National Provider Identifier
1467664045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 110404
- Practice address
- 2535 Lone Star Drive
Dallas, TX 75212 - Phone
- (214) 467-9787
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 110404 | TX | Primary |
Addresses
Primary practice location
2535 Lone Star Drive
Dallas, TX 75212
Mailing address
2364 Wildoak Drive
Dallas, TX 75228
Phone (214) 498-2245
Other names 1
- Blythe Dechelly Stewart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110404 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467664045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2364 WILDOAK DRIVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "75228",
"telephone_number": "214-498-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 LONE STAR DRIVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "75212",
"telephone_number": "214-467-9787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "BLYTHE",
"middle_name": "DECHELLY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "110404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BLYTHE",
"last_name": "STEWART",
"middle_name": "DECHELLY",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.